ANEMIA NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATIO RATIONALE EVALUATION

N
Subjective: Fatigue related to Short term: After Independent: a) It is critical to Short term: After
compare serial
The client decreased 2 hours of nursing a) Monitor 2 hours of nursing
laboratory values
verbalized hemoglobin and intervention, client hemoglobin, to evaluate intervention, client
complaint of diminished will verbalize use hematocrit, progression or has verbalized use
RBC counts, deterioration in
feeling tired oxygen-carrying of energy the client and to of energy
and
capacity of the conservation reticulocyte
identify changes conservation
before they
Objective: blood evidenced principles. counts. become
principles.
-BP: 132/84 by report of b) Assist the potentially life-
- Oxygen fatigue and lack of client in threatening.
b) A plan that
Saturation: 94% energy Long term: After 1 planning and balances periods Long term: After 1
-Hgb: 8.1 g/dl week of nursing prioritizing of activity with week of nursing
-Hct: 25.2% intervention, activities of periods of rest intervention, the
daily living can help the
Client will client complete client verbalized
verbalize (ADL). desired activities reduction of
c) Educate without adding
reduction of fatigue, as
energy- levels to fatigue.
fatigue, as conservation c) Organization and evidenced by
evidenced by techniques.
time reports of
management can
reports of d) Anticipate the help the client
increased energy.
increased energy  need for the conserve energy
transfusion of and reduce GOAL MET:
fatigue.
packed RBCs. d) Packed RBCs
e) Instruct the increase oxygen-
client about carrying capacity
medications of the blood.
e) Recombinant
that may human
stimulate RBC erythropoietin, a
production in hematological
the bone growth factor,
increases
marrow. hemoglobin and
Collaborative: decreases the
f) Refer the client need for RBC
and family to transfusions.
f) The occupational
an therapist can
occupational teach the client
therapist. about using
assistive devices.
 ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATIO RATIONALE EVALUATION
N
Subjective: the Activity Short term: After Independent: a) This Short term: After
client verbalize intolerance related 30 minutes of a) Aid in gradual develops 30 minutes of
complaint of to imbalance nursing increase of endurance nursing
feeling tired between oxygen intervention, the activities to while intervention, the
supply and client will identify tolerance as preventing client have
Objective: demand evidenced factors that the patient’s problems identified factors
-Oxygen by deconditioned aggravate activity strength caused by that aggravate
saturation: 94% state intolerance. progress. prolonged activity
-BP: 132/84 b) Document bedrest. intolerance.
Long term: After 1 response to b) Close
day of nursing activity. monitoring Long term: After 1
intervention, the c) Allow time for will serve as day of nursing
client will identify the patient to a guide for intervention, the
methods to reduce have optimal client have
activity undisturbed progression identified methods
intolerance. rest. of activity. to reduce activity
Dependent: c) Lessening intolerance.
d) Give blood any
components interruption
(commonly s allows the
packed RBCs) patient to
via rest and
intravenous benefit from
catheter as sleep until
prescribed. anemia is
resolved.
d) This method
will increase
the number
of RBCs
circulating
in the blood,
which
eventually
increase the
blood’s
oxygen-
carrying
capacity.